| NPI | 1508278227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CT 75465) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 323908) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-12-20 |